Bloom, Byron J

Bloom, Byron J is an individual health care provider with primary practice located at 883 Union St , Shelbyville TN 37160-2607. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Bloom, Byron J can be contacted via phone (931) 685-1145.

Contact Information

Primary practice address
883 Union St Shelbyville TN 37160-2607
Phone: (931) 685-1145
Fax: (931) 685-8014
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 922 Tennessee

Profile Details

NPI number 1801074042
LBN Legal business name Bloom, Byron J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2008
Last updated Mar 14th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801074042 NPPES
Tennessee Other 1801074042 NPI
Tennessee Other 922 NPI

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